Provider Demographics
NPI:1003071929
Name:ACKER, SARA ELINOFF (LICSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ELINOFF
Last Name:ACKER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 EVERETT AVE
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-4200
Mailing Address - Country:US
Mailing Address - Phone:413-537-1912
Mailing Address - Fax:
Practice Address - Street 1:21 EVERETT AVE
Practice Address - Street 2:
Practice Address - City:BELCHERTOWN
Practice Address - State:MA
Practice Address - Zip Code:01007-4200
Practice Address - Country:US
Practice Address - Phone:413-537-1912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10317231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical